The Impact Personal Injury Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE IMPACT PERSONAL INJURY CENTER INC

Practice address

10792 SW 24TH St
Miami, FL 33165-2499

Phone

(786) 586-1687

NPI assigned

Aug 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Caridad Acevedo

Title

President

Phone

(786) 586-1687

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821104035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10792 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652499",
            "telephone_number": "786-586-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10792 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652499",
            "telephone_number": "786-586-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IMPACT PERSONAL INJURY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "CARIDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-586-1687"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.